Beyond ideal speech situations: adapting to communication asymmetries in health care.
J Health Psychol
; 19(1): 72-8, 2014 Jan.
Article
em En
| MEDLINE
| ID: mdl-24058108
ABSTRACT
Inclusive, unconstrained and honest communication is widely advocated as beneficial and ethical. We critically explore this assumption by reflecting upon our research in acute care, informal care and public health. Using Habermas' ideals of dialogue to conceptualise ideal speech, we concur with observations that health care is often characterised by intractable exclusions and constraints. Rather than advocating implementing the ideals of dialogue, however, we examine how people adapt to these difficult and intransigent contexts. Non-ideal contexts, we find, sometimes call for non-ideal responses. Deception and furthering personal interests, and thus departing from the ideals of dialogue, can be adaptive responses.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Saúde Pública
/
Comunicação
/
Atenção à Saúde
Aspecto:
Determinantes_sociais_saude
/
Ethics
Limite:
Humans
País/Região como assunto:
Africa
/
Asia
Idioma:
En
Revista:
J Health Psychol
Assunto da revista:
PSICOLOGIA
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Reino Unido